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Date Published: 22/07/2024
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DOI: https://doi.org/10.51298/vmj.v540i3.10495
Issue
Vol. 540 No. 3 (2024)
Section
Các bài báo
How to Cite
Hoàng , T. A., & Phan, V. T. (2024). DELAYED PRIMARY CLOSURE AFTER FASCIOTOMY: A LARGE DEFECT CASE REPORT. Vietnam Medical Journal, 540(3). https://doi.org/10.51298/vmj.v540i3.10495

DELAYED PRIMARY CLOSURE AFTER FASCIOTOMY: A LARGE DEFECT CASE REPORT

Tuấn Anh Hoàng , Văn Tân Phan

Main Article Content

Abstract

Patients usually have large defects after fasciotomy of the extremities. By far, there are two main treatments for this defect: skin graft and delayed primary closure. Surgeons need to evaluate the characteristics of defect and patients’s condition before indicating a delayed primary closure method. We present a case of 42 year old male patient, with traumatic brain injury and hypertension history. At the left thigh, there was a 30x7 cm defect. Medial and lateral calf defects were 24x8 and 25x6 cm respectively. Nylon suture and plastic buttons were used to design a traction system. Patient underwent 2 surgeries in 14 days. The results were excellent at 6-months follow-up. Conclusion: Delayed primary closure after fasciotomy has several advantages: simple, economical and requires a short learning curve. However, appropriate patient seletion based on patient’s overall condition and defect width/circumference ratio are essential for optimal results.

Article Details

Keywords

fasciotomy, continuous traction, delayed primary closure

References

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